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This form is used for requesting a medical or religious exemption from Covid-19 vaccination in Maryland.
This form is used to update the CJIS-CR Authorization in Maryland. It helps individuals and organizations to update their authorization for accessing criminal justice information.
This Form is used for healthcare providers in Maryland to apply for certification and participation in the Maryland Healthy Kids/Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program.
This document is used in Maryland for reporting known or suspected cases of pesticide-related illness by physicians. It helps track and investigate such cases to ensure public health and safety.
This Form is used for requesting a roster in the state of Maryland. It allows individuals or organizations to request a list of names and contact information for a particular group within the state.
This document is used for applying for approval of a continuing education course in Maryland. It is a necessary step for educators and professionals looking to offer courses that meet the state's continuing education requirements.
This document is a Complaint Form for the Board of Dietetic Practice in Maryland. It is used to file a complaint against a practicing dietitian or nutritionist in the state.
This document is an amendment that providers in the state of Maryland can use to make changes to their existing Healthchoice Provider Service Agreements.
This document is used for converting a continuing license or letter of compliance in Maryland and conducting biannual reviews. It provides a checklist to ensure all necessary requirements are met.
This form is used for providing worker's compensation insurance information in the state of Maryland.
This form is used for reporting changes in personnel or staff at a child care facility in Maryland.
This form is used for creating an individualized treatment or care plan checklist for specialized services in Maryland.
This form is used for reporting medication errors that occur in the state of Maryland. It allows healthcare professionals to document and report any incidents involving medication errors for further investigation and analysis.
This form is used for obtaining authorization to sell and distribute topical basic care products in the state of Maryland.
This form is used for authorizing the administration of medication for individuals with seizure/convulsion/epilepsy disorder in Maryland.
This form is used for voluntarily closing a child care facility or provider in Maryland.
This document is used for voluntarily surrendering a Family Child Care Certificate of Registration in Maryland. It is an alternative to facing an enforcement action.
This form is used for voluntarily surrendering a child care center license in Maryland instead of facing enforcement action. It requires a statement of understanding from the licensee.
This form is used for voluntarily surrendering a Letter of Compliance Certificate in Maryland instead of facing enforcement actions. It requires a statement of understanding from the individual surrendering the certificate.
This document allows a large family child care provider in Maryland to voluntarily surrender their certificate of registration instead of facing enforcement action.